Gibson, Jessica Elizabeth
Gibson, Jessica Elizabeth is an sole proprietor health care provider with primary practice located at 1600 Riverfront Dr , Little Rock AR 72202. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gibson, Jessica Elizabeth can be contacted via phone (501) 663-6965.Contact Information
Primary practice address
1600 Riverfront Dr
Little Rock AR 72202
Phone: (501) 663-6965
Fax: (501) 603-0675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP#2586 | Arkansas |
Profile Details
| NPI number | 1417122649 |
|---|---|
| LBN Legal business name | Gibson, Jessica Elizabeth |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Sep 25th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417122649 | NPPES |
| Arkansas | Other | 113694335 | TRICARE |
| Arkansas | MEDICAID | 168616721 | TRICARE |
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